1 The most common causes of anaphylaxis include drugs, such as penicillin, insect stings, foods (peanuts, shellfish), X-ray dye, and latex. 2  The symptoms of anaphylaxis may vary and can include hives, tongue swelling, vomiting, and even shock.
The maximum pharmaceutical dose that can be taken daily of regular tramadol is 400 mg (two 50 mg pills 4x a day). Read More. The maximum dose is 400mg a day, if your taking 50mg pills 4 would be 200mg, so your taking half the daily maximum.
Forms and Dosages. Tramadol tablets are available in 50 and 100 mg strength and are usually taken several times a day. Extended release versions come in 100 mg, 150 mg, 200 mg, and 300 mg strengths. Hydrocodone extended release tablets are available in strengths ranging from 20 mg up to 120 mg.